Transcript Highlights:

• </c> didn't want to deal with nursing homes. didn't want to deal with nursing homes.
• for our nursing homes.
• > we</c><02:56:41.040><c> were</c> in nursing homes because you we were in nursing homes because you
• So you work in nursing homes, per se.
• If finding nurses for our nursing homes.

Summary: The committee discussed House Bill 185, which would amend RSA 3109 to add timelines for OPLC’s complaint review and investigation process. Members reviewed the existing five-year limitation period for misconduct complaints and noted that the bill would add a 30-day deadline for the office to make a recommendation to the board and a 90-day deadline to complete investigations. Some members raised concerns that the new deadlines could conflict with the existing statute of limitations, create pressure to dismiss cases too quickly, and potentially undermine the separation between OPLC’s investigative role and the boards’ adjudicatory role established by House Bill 655. Nicholas Fry, OPLC general counsel, testified that the agency’s fiscal note originally assumed it would need roughly double its staff to meet the proposed deadlines, though a later amendment reduced that estimate somewhat. He said OPLC would still need additional personnel, including investigatory paralegals and a physician investigator for the Board of Medicine, to meet the timeframes. He also explained OPLC’s current complaint and hearing procedures, including new consumer-friendly correspondence, website guidance, and efforts by the enforcement division to improve transparency and communication with complainants and licensees. Bob Quinn of the New Hampshire Association of Realtors testified in support of the bill’s basic goal of speeding up intake and investigation, saying the 30-day intake/review period was reasonable and that the bill would not change OPLC’s role in that first step. He argued, however, that the investigation step is where delays occur, especially for lower-priority complaints, and that some cases have remained unresolved for years. Committee members also questioned how the added staffing costs would be paid, with discussion of whether they would come from license fees or the general fund. No vote or final action was taken in the portion of the meeting provided.

Transcript Highlights:

• Next is the nursing home adjustment.
• Nursing homes. They go up every year, correct?
• Is there any money that goes to nursing homes to incentivize better quality?
• they come back, do we pay nursing homes for empty beds?
• home placements are... ...of beds continues to assure that those that really do need nursing home level

Committee: House Appropriations

Summary: The committee first heard a budget presentation on LSU Health Care Services Division and Lallie Kemp Medical Center. Staff reviewed HCSD’s roughly $74.7 million budget, much of it tied to legacy obligations for former LSU hospital systems and support for Lallie Kemp. Committee members asked about prisoner care, risk management costs, declining admissions and emergency visits, and the hospital’s 340B drug program. Lallie Kemp officials explained that prisoner care serves multiple state and local facilities, that lower admissions largely reflect more patients being placed in observation status, and that the in-house 340B program provides major savings to patients and the prison system. Members also asked about care for unhoused patients and the hospital’s discharge practices, and the hospital said social services works to find placement when possible. The committee then moved to the Louisiana Department of Health budget, which was presented as just under $23.5 billion, with Medicaid making up more than 90 percent of the total. The presentation covered the Office of the Secretary, Office of Public Health, Office of Behavioral Health, Office for Citizens with Developmental Disabilities, and Medicaid. Major items included the new Rural Health Transformation Program, the transfer of several functions from DCFS to LDH under the One Door initiative, changes to SNAP administration, and large Medicaid adjustments driven by enrollment, utilization, and federal policy changes. Testimony also highlighted the statewide crisis hub and 988, the commodity food program for seniors, women’s health and maternal outcomes, and the department’s efforts to modernize technology and reorganize services. Members questioned LDH officials on a wide range of budget and policy issues, including the rural health grant, crisis services, Medicaid redeterminations, provider taxes, physician and hospital supplemental payments, nursing home rates, HCBS funding, and the impact of the federal One Big Beautiful Bill Act. LDH said the rural health grant would support workforce, technology, and care-delivery improvements; that the crisis hub and mobile crisis units are being expanded to improve access and reduce emergency room use; and that the department is working to keep the SNAP error rate below 6 percent to avoid a projected state cost increase. Officials also said they expect to return next year with additional funding requests for HCBS and other programs, while emphasizing that current budget changes are largely meant to realign funding with actual expenditures and new federal requirements. No votes or formal actions were taken in the portion provided.

Transcript Highlights:

• Um that we've received at nursing homes.
• </c><00:43:41.280><c> home</c> consider going to visit a nursing home consider going to visit a nursing
• Is that handled then by nursing home.
• And accusation against a nursing home?
• So even in a nursing home, we would still focus the same way.

Summary: The committee’s first interim meeting opened with roll call and a reminder that Kentucky had 8,641 children in out-of-home care with active placements as of June 1, 2025. The first presentation was from the Center for Courageous Kids (CCK), a donor-funded camp in Scottsville that serves children with lifelong illnesses and disabilities at no charge. Representatives described the camp’s history, its year-round family retreats and summer sessions, its medical and accessibility supports, and its impact on campers’ confidence and independence. They said CCK has served more than 43,000 campers from 46 states and 13 countries, including 22,000 from Kentucky, and noted plans to reach all 120 Kentucky counties. CCK also outlined future capital needs: a new art barn and a medical lodge. The organization said the art barn project would cost $2.5 million, with a legislative request of $1.5 million, and the medical lodge would cost $2.875 million, with a legislative request of $1.75 million. Members responded very positively, with several praising the camp’s work and one member asking about operational challenges. CCK said its main challenges are awareness, staff and volunteer recruitment, and expanding medical and housing capacity; it also said it is accredited by the American Camp Association and receives health and safety visits and audits. The committee then moved to a presentation on adult protective services and state guardianship programs from Jessica Wayne and Cliff Bryant of DCBS. They explained the legal framework for guardianship, the difference between full and limited guardianship/conservatorship, emergency appointments, and the state’s role as a last-resort guardian when no family member or private entity is available. They reported 4,464 individuals under state guardianship as of June 1, with most cases involving dementia, developmental disability, intellectual disability, nursing home or long-term care placement, severe mental illness, or brain injury. They also said the division has 89 field workers across 14 regional offices, with an average caseload of 52 and a goal of reducing that into the mid-40s through additional hiring.

Transcript Highlights:

• The city owns the nursing home. OPERS is just eating them alive, and they're such.
• And so this is going to save that nursing home a lot of money.
• And the nursing home, the nursing home, It's going to save that nursing home a lot of money.
• home, I'm going to try to do what I can to save these nursing homes around.
• And I don't think it's just Vici-sized nursing homes.

Bills: SB134 , SB1356 , SB1407 , SB1611 , SB1639 , SB169 , SB1722 , SB182 , SB1870 , SB2039 , SB432 , SB609 , SB715 , SB716

Committee: Senate Retirement and Government Resources

Summary: The Senate Committee on Retirement and Government Resources considered a series of retirement, pension, and state employee bills. Senate Bill 1870 would let small municipalities in OPERS with populations of 2,000 or less opt out for new employees; members questioned the fiscal impact and the bill passed 8-0 after the chair struck the title to get a clearer actuarial analysis. Senate Bill 1722 passed 9-0 and would require OMES construction contract fees to be based only on construction costs, not interior design and furnishings, with members discussing how to define those terms and whether historical or specialized projects could still be accommodated. Senate Bill 1639 passed 9-0 after an amendment removed provisions affecting the Indian Education Act commission, leaving a bill to repeal several dormant boards and commissions. The committee also passed Senate Bills 715 and 716, which would increase municipal contributions to firefighter and police pensions, respectively; members raised concerns about city budgets, and the sponsor said he was open to phasing in the increases. Senate Bill 182 passed 5-2 to add certain DHS Inspector General officers and OJA residential care specialists to hazardous duty retirement, and Senate Bill 609 passed 7-0 to allow police recruits to buy up to five years of prior out-of-state service credit as a recruitment tool. The committee then passed Senate Bill 169 5-2 to increase state employee longevity pay by 50%, with supporters citing high turnover and opponents warning about budget pressure and the need for broader raises. Senate Bill 134 passed 7-0 to shorten the waiting period for county employees to return to work from one year to six months. Senate Bill 432 passed 6-0 to raise volunteer firefighter pension benefits, and because it was double-assigned it would next go to Appropriations. Senate Bill 1407 passed 7-0 after an amendment requiring OMES to provide the Commission on the Status of Women an itemized accounting of funds; the bill generally clarifies staffing and financial reporting authority for the commission. Finally, Senate Bill 2039 passed 8-0 after an amendment narrowing the bill to military personnel who are also teachers and defining salary for buyback purposes; the sponsor said the measure would help service members return to teaching and buy back up to five years of credit. The committee also passed Senate Bill 1356 7-0, a broader OMES cleanup bill moving certain functions elsewhere, though members flagged concerns about relocating the state use program and the pay-for-success fund and suggested further study on those sections.

Transcript Highlights:

• HB 1095 provides for alternative power sources at nursing homes.
• This bill was brought to me by some nursing home operators who expressed a need to have flexibility with
• This bill is a carbon copy of previous legislation related to backup for nursing homes.
• The reason for this is nursing homes are regulated and can only install what is allowed per state and
• It is giving nursing homes another option for their resident buildings and making sure additional backup

Committee: House Health and Welfare

Summary: The House Committee on Health and Welfare met on April 23 and first disposed of several items without hearing them, including HB 1093 and HB 1145, and voluntarily deferring HB 946. The committee then quickly reported HB 1095 favorably without objection. That bill would require nursing facilities to have fuel or another alternative power generation source to maintain power, and supporters said it preserves existing backup-power safety requirements while giving facilities more flexibility as technology changes. The committee then took up HB 926, which concerns vaccination status and admission to public buildings and seeks to prohibit medical mandates. After adopting an amendment set and additional changes clarifying exclusions for licensed health care providers and facilities, medical masks, and child welfare/school-related provisions, the committee heard testimony both for and against the bill. Supporters framed it as a civil-liberties measure limiting vaccine-card requirements for public buildings, while opponents warned it could interfere with public health measures, school immunization rules, and the ability of health care facilities to protect patients. The bill was reported favorably on an 8-4 vote. HB 1220, a cleanup bill for the Louisiana State Board of Medical Examiners, was then reported favorably after a technical amendment set. HB 1227, which would require complaints involving medical judgment to be reviewed by a three-physician panel before formal disciplinary action, drew extensive testimony from a physician sponsor, a doctor describing his disciplinary experience, and the board’s executive director, who said the board already uses practicing physicians, nurses, and experts in its process and warned the proposed panel system could be impractical because physicians are difficult to recruit for such reviews. At the sponsor’s request, the committee voluntarily deferred HB 1227 for further work. Finally, the committee reported HB 1217 favorably with amendments to a pharmacy benefit manager transparency bill, after supporters said it would expose hidden pricing and rebate practices and opponents argued some provisions were duplicative or unnecessary. HB 1028, setting minimum Medicaid reimbursement rates for non-emergency medical transportation, was reported favorably and referred to Appropriations after supporters described the need for higher rates and members discussed funding. The committee also reported HB 1185 favorably, with amendments preserving the existing Rural Hospital Preservation Act while extending similar protections to additional rural-lookalike hospitals, and adopted HCR 76 to continue the Health Inequities and Disparities in Rural Areas Task Force for another year.

Transcript Highlights:

• I WOULD LIKE TO ASK YOU A QUESTION IF YOU MIGHT KNOW THE ANSWER OF THE EXISTING NURSING HOMES WE HAVE
• IT HAS BEEN A MINUTE IN THE NURSING HOME OPENED WHEN I LEFT. BUT I KNOW FOR A FACT. >> Sen.
• IT WILL BE OUR TENTH STATE VETERAN NURSING HOME. IT WILL BE IN COLLIER COUNTY.
• WE KNOW WHO THEY ARE BECAUSE THEY ARE IN OUR NURSING HOMES AND I LOVED CONNECTING WITH THEM.
• THEY ASSIST US WITH PROGRAMS OF VETERANS IN OUR NURSING HOMES THROUGHOUT THE STATE OF FLORIDA.

Transcript Highlights:

• We do also have a reverse scenario, which is that we have a finite number of nursing home bed licenses
• </c><01:04:04.319><c> home</c><01:04:04.720><c> bed</c> finite number of nursing home bed finite number
• of nursing home bed licenses.<01:04:06.079><c> So</c><01:04:06.400><c> there</c><01:04:06.559><c> are
• number of staff, I think it's something like nationally 44% of nursing homes are short staffed. >> 66%
• hiring a nurse.

Summary: The committee first handled routine business, approving the prior meeting minutes with one abstention from a member who had been absent. It then received an update from DHHS Commissioner Lori Weaver on the department’s rural health transformation grant submission. Weaver said the grant was submitted ahead of the deadline, reflected input from communities and providers statewide, and would now enter a CMS review and negotiation phase. She explained that the governor’s office will oversee the grant with DHHS, that some proposals may be limited by federal parameters, and that the department may need to hire some staff to administer the grant, within the grant’s administrative cap. Members also discussed DHHS budget pressures and staffing. The department’s CFO, Nathan White, reviewed the agency’s budget mix, noting that DHHS accounts for a large share of the state’s operating and general fund budgets, and explained projected general fund lapse estimates, which he said are currently just under $20 million for the department. He also described why lapse projections are difficult to predict in DHHS because many costs are driven by utilization and because some funds are statutorily non-lapsing. White reported that vacancy rates have risen, citing about 400 unfunded positions in the current biennium and the department’s hiring freeze, while emphasizing that direct-care positions are being prioritized. Committee members raised concerns that back-of-the-budget cuts and weak revenue collections could affect the department’s ability to manage lapse projections. The committee then heard from Division of Public Health Director Ian Watt on vaccine policy and federal changes. Watt said New Hampshire continues to support access to safe and effective vaccines, including through the universal purchase program and seasonal respiratory virus guidance. He explained a recent CDC change regarding the MMRV vaccine, which now discourages the combined shot for the first dose in children under four because of febrile seizure risk, while still allowing it for the second dose. Watt said New Hampshire’s school and child care vaccine mandates remain stable, with nine vaccines required for schoolchildren and 10 for child care, and that the state continues to review federal recommendations cautiously. He also said there have been no supply or funding disruptions affecting vaccine access, and that childhood vaccine funding through commercial insurers remains intact. Finally, the Permanent Subcommittee on Alzheimer’s Disease and Other Related Dementias presented its annual report. The subcommittee said it met about six times, heard presentations on state services, silver alerts, brain health awareness, and palliative/hospice care, and began work on updating the state’s Alzheimer’s plan, which had last been updated in 2015-2016. To gather more direct input, the subcommittee formed a needs-assessment work group to develop a survey for people living with dementia, caregivers, and service providers. It recommended integrating Alzheimer’s and dementia materials into chronic disease, aging, and public health outreach; embedding cognitive health into systems of care and the state health improvement plan; adding cognitive health measures to BRFSS; and continuing partnerships with aging and advocacy organizations. Members praised the report and suggested it should clearly identify the subcommittee and include page numbers in future versions.

Transcript Highlights:

• Nurses here in the state of Florida, where we also talk about nursing education often.
• and practical nurses.
• I mean, I never could have been a nurse. I knew I would not be a good nurse.
• You're in a nursing home, and we all want great, highly trained individuals caring for those of us in
• the nursing home.

Summary: The Senate convened with prayer, the Pledge of Allegiance, and several introductions, then moved into special order and returning messages. Early floor action included passage of HB 6503 (relief for Mandy Penny Lamon by Sarasota County), HB 1123 (sewer collection systems), HB 211 (farm products), and a joint resolution on ad valorem tax exemption for agricultural tangible personal property, all approved without opposition. Several other measures were temporarily postponed before the chamber recessed and later returned to messages from the House. The Senate then took up a series of House amendments and conference-style motions on major bills. SB 180 on emergency preparedness and response was amended and concurred in after debate over hurricane recovery, local government moratoriums, evacuation timing in the Keys, and property tax and redevelopment provisions; it passed 34-1. CS/HB 1609 on waste incineration and auxiliary containers was heavily debated over plastic and polystyrene preemption, local beach and park regulations, and landfill/incinerator provisions, then passed 26-10. CS/HB 1205 on citizen initiatives was amended to allow volunteers to carry up to 25 petitions without registration/training and passed 28-9. The Senate also refused to concur in a House amendment to SB 234 on offenses against law enforcement, and in SB 116 on veterans, seeking to restore funding for veteran suicide prevention. Later, the chamber approved or advanced several education and health-related bills. CS/HB 1255 on education was amended and passed, with changes to school readiness and other education provisions. CS/HB 875 on educator preparation passed after discussion of cognitive science, classroom management, teacher excellence programs, and the phaseout of the general knowledge test. CS/HB 1105, a large education package, passed after debate over charter school conversions, cell phone restrictions, and other school governance changes. In health care, CS/HB 1427 was introduced as a comprehensive package combining multiple health-related provisions, though the excerpt ends before final action on that bill. Throughout the day, the Senate also concurred or refused to concur in various House amendments on mental health, financial institutions, land development, brownfields, and out-of-network provider legislation, with votes generally recorded and several measures passing on divided but mostly favorable roll calls.

Transcript Highlights:

• AB 2135 improves the facility-initiated discharge notices provided to residents of nursing homes and
• My name is Jacqueline Flores, and I'm an advocate with California Advocates for Nursing Home Reform,
• CANHR is proud to California Advocates for Nursing Home Reform, also known as CANHR.
• CANHR is proud to co-sponsor AB 2135, a bill aimed at ensuring nursing home residents receive timely
• On November 4th, the nurse from Graceful Care Hospice came to our home.

Summary: The Senate Committee on Health heard a series of bills focused on access to care, insurance coverage, and public health. AB 387 on youth sports AED access drew support from the author and safety advocates, but opposition from school, park, city, and county groups over liability, cost, and access concerns. The author said he would continue working on amendments to shift the bill toward requiring access to existing AEDs rather than mandating facility procurement. Committee members emphasized the life-saving purpose of the bill while also raising affordability and access concerns for youth sports programs. The committee also heard AB 1682, which would require health plans and insurers to cover FDA-cleared scalp cooling devices for chemotherapy patients. Supporters, including breast cancer survivors and health groups, described the emotional and quality-of-life benefits of preventing hair loss and said cost is the main barrier to access. There was no formal opposition, though one senator raised concerns about whether the mandate could exceed essential health benefits. The chair and members expressed support for the bill’s goals and said it would be taken up when quorum was established. AB 2093, a follow-up to the 988 crisis line law, sought to clarify statewide leadership, improve coordination among 988, 911, and mobile crisis teams, and create a more sustainable funding structure. Behavioral health organizations and crisis center representatives supported the bill, saying implementation challenges and demand growth require statutory fixes. Committee members generally supported the concept but noted the bill was a gut-and-amend and that additional work was needed with county and behavioral health stakeholders. The committee then heard AB 1843 on hepatitis C treatment, AB 1629 on dental assignment of benefits, AB 2540 on community college access to medication abortion services, and AB 1929 on disclosure of health plan investments. AB 1843 had broad support from medical and public health groups but opposition from health plans, which argued it conflicted with the prior-authorization framework in SB 306 and could raise drug costs. AB 1629 was supported by dental and patient advocates but opposed by dental plans and insurers over concerns about network participation and out-of-pocket costs. AB 2540 drew strong support from reproductive health advocates and student representatives, while community college health services and some others opposed or were neutral pending amendments; the author said the bill was about equity and accepted amendments to reduce burdens. AB 1929 was backed by labor and immigrant rights groups as a transparency measure, but opposed by health plans and insurers who said Covered California was not the right entity to administer the disclosures and that the information was already publicly available. Throughout the hearing, members repeatedly weighed public access and transparency against cost, administrative burden, and implementation concerns.

Transcript Highlights:

• Private equity has also acquired approximately 13 percent of nursing homes in the U.S. as of this year
• Staffing cuts are particularly prevalent in nursing home acquisitions, where it is easier for private
• Recent studies have shown that private equity ownership of nursing homes leads to a lower risk patient
• hours per resident day compared to other for-profit nursing homes.
• New Mexico hospitals and more than 35% of nursing homes are owned by private equity.

Committee: House Legislative Health & Human Services Committee

Transcript Highlights:

• medically or technologically dependent children who would otherwise reside in hospitals or nursing homes
• A lot of people come in because they can&#x27;t upload documents at home.
• You're giving everyone the ability to practice on supervised from cardiac nurse nurse is to every kind
• of nurse, and philosophically, I think that's going way too far.
• That is what this program does because we have providers and home helping my twins at home.

Transcript Highlights:

• We do see an expansion of your home and community-based service lines.
• For us, you have to have independent living and skilled nursing.
• For us, you have to have independent living and skilled nursing.
• And they'll also provide some of those care services, even skilled nursing, in the home, in their units
• We represent healthcare workers in hospitals, community centers, and nursing homes across Massachusetts

Summary: The commission met at Brookhaven at Lexington to continue discussing continuing care retirement communities (CCRCs), with a focus on financial viability, entrance fees, refund policies, and how the industry is evolving. Speakers explained that nonprofit CCRCs have shifted away from building entirely new campuses since the 2008 financial crisis, and now more often grow through expansions, affiliations, mergers, or added home- and community-based services. They also noted that many newer CCRCs, especially nationwide, are being built without on-campus skilled nursing, relying instead on assisted living, memory care, or off-site arrangements, and that zoning and local approval can affect expansion plans. A substantial portion of the discussion centered on financial health and consumer protection. Panelists said the most important indicators of a strong CCRC are high occupancy, strong liquidity, and reinvestment in the property, with low occupancy and declining days cash on hand cited as warning signs. They described how actuarial reviews are used to estimate health care utilization and set pricing, and said staffing shortages are often a bigger financial pressure than resident care utilization itself. On refunds, speakers said entrance-fee refunds are generally paid when a unit is resold and the new entrance fee is received, and that resident refunds are usually protected even in bankruptcy, though residents are unsecured creditors. Massachusetts examples such as Reed’s Landing and the Groves were cited as cases where residents remained in place and refunds were ultimately protected. The group also discussed a pending disclosure bill on Beacon Hill related to entrance fees and refund transparency. LeadingAge Massachusetts said it supports clearer disclosure so residents understand refund provisions, and reported that among surveyed member CCRCs, the average time to provide an entrance-fee refund over the past two years was about 117 days. Participants emphasized the need to balance consumer protection with preserving the financial stability of the communities. The commission also reviewed upcoming dates: a virtual public hearing/listening session on June 16, the next commission meeting on June 23, and a later discussion planned on consumer rights, protections, and advertising practices. The meeting concluded with introductions of commission members and an invitation for attendees to tour the Brookhaven campus.

Transcript Highlights:

• It'll shutter nursing homes and rural hospitals, depriving seniors and Americans. with disabilities of
• Here is what families see: Granny is home dying. She needs to transfer to a nursing home.
• It's a rule that would triple the registered nurse requirements in nursing homes, which is going to lead
• This would lead to nursing home closures across our state.
• Go to the nursing home on your own. That's a broken health care system.

Committee: Senate Finance Committee

Transcript Highlights:

• AB 2135 improves the facility-initiated discharge notices provided to residents of nursing homes and
• Home Reform, Consumer and Policy Advocate with California Advocates for Nursing Home Reform, and Jason
• My name is Jacqueline Flores, and I'm an advocate with California Advocates for Nursing Home Reform,
• CANHR is proud to California Advocates for Nursing Home Reform, also known as CANHR.
• On November 4th, the nurse On November 4th, the nurse from Graceful Care Hospice came to our home.

Committee: Senate Health

Transcript Highlights:

• Rules of the Board of Examiners of Nursing Home Administrators.
• This docket contains the current administrative rules for the Board of Examiners of Nursing Home Administrators
• However, due to the merger of the Board of Examiners of Nursing Home Administrators and the Board of
• The Board of Examiners of Nursing Home Administrators and the Board of Examiners of Residential Care
• The Board of Examiners of Nursing Home Administrators and the Board of Examiners of Residential Care

Committee: Senate Health and Welfare

Transcript Highlights:

• He's been at our family firm and funeral home for many years.
• Mass General Brigham is home...
• I'm an ICU nurse at Brigham and Women's Hospital and President of the Massachusetts Nurses Association
• Nurses are crucial stakeholders in the hospital care system.
• I'm a registered nurse.

Committee: Joint Joint Committee on Public Health

Summary: The committee hearing covered a wide range of public health bills, with much of the testimony focused on two major themes: expanding access to care and stabilizing health-related workforces and services. On House 2364, an act relative to medical health and fitness facilities, representatives from Dedham Health and Athletic Club argued for a pilot program recognizing supervised exercise as medicine, saying it could improve outcomes for chronic disease, fall prevention, and mental health while reducing costs. On House/Senate bills concerning community health workers (H. 359/S. 251), multiple witnesses from MACHW, Health Care for All, MHA, Cambridge Health Alliance, Mass General Brigham, Boston Children’s Hospital, Asian Women for Health, and the City of Somerville described CHWs as essential for navigation, trust-building, language access, and addressing social needs, and urged reimbursement by MassHealth, the GIC, and private insurers, along with workforce development measures. One pediatric neurologist also told the committee that losing grant-funded CHW support led to more avoidable ER visits and threatened clinic operations. The committee also heard extensive testimony on hospital closures and essential services. Witnesses including Dr. Alan Sager, MNA President Katie Murphy, nurses from Brockton Hospital and Providence Behavioral Health, and local officials and legislators from Norwood described the loss of hospitals and service lines, especially maternity, pediatric, and behavioral health care, and argued current closure processes are too weak to protect communities. They supported bills such as H. 2460/S. 1503 and H. 2534/S. 1574, which would require earlier notice, community input, stronger state oversight, possible receivership, and limits on reopening or expanding after closures. Testimony emphasized the impact of Steward’s bankruptcy, the closures of Carney and Neshoba Valley, and the need to preserve access to essential services in underserved areas. Several end-of-life and professional regulation bills were also discussed. On H. 2436, Representative Omar Gomez and funeral industry witnesses supported eliminating Office of the Chief Medical Examiner fees for the removal of a child’s body in cases involving children five and under, describing the bill as a small but important relief for grieving families. On H. 2444 and related Senate bills, cemetery and consumer advocates supported legalizing alkaline hydrolysis and natural organic reduction as environmentally friendly after-death options, while cemetery representatives opposed H. 2360, which would allow funeral establishments to operate crematories, arguing cemeteries should retain that role. The committee also heard support for H. 2382, which would exempt dentists and oral surgeons from a new office-based surgical center framework, and for H. 2461, which would create hospital efficiency standards; employers and retailers backed that bill as a way to address rising health care costs. Finally, the committee heard testimony on autism services and hospital governance. On S. 1414, behavior analysts and school representatives said Massachusetts already licenses assistant-level ABA providers but MassHealth does not reimburse them, causing long waitlists and limiting school and family access; an actuary testified that a three-tier ABA reimbursement model could reduce MassHealth costs by up to 6% per child served. Senator Lovely also testified in support of S. 1572, which would require at least one registered nurse on each acute care hospital governing board, arguing nurses’ frontline perspective would improve quality and retention. No votes were taken in the hearing excerpt, but many witnesses urged favorable reports on their respective bills.

Transcript Highlights:

• SB 1302 is a sunset bill for the Board of Registered Nursing.
• Good morning, Roxanne Gould on behalf of the American Nurses Association.
• You asked about education, and so Lori from the Board of Registered Nursing, the nurse practitioner education
• To do in the exempted home and community-based setting.
• CCRCs could have LVNs providing care to nursing home-level residents in all three levels of their care

Summary: The Assembly Business and Professions Committee heard a long agenda of licensing, consumer protection, and sunset-review bills. Early items included SB 1148, which would let aspiring security guards complete all required training before a guard card is issued; SB 342, which would soften the penalty for contractors who were licensed during part of a project but had a brief lapse; and several sunset bills for boards and bureaus, including the Board of Registered Nursing (SB 1302), the Board of Naturopathic Medicine (SB 1303), the Respiratory Care Board (SB 1304), the Board of Barbering and Cosmetology (SB 1363), and the Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board (SB 1368). The committee also heard SB 1311, which makes various updates to DCA boards and programs, and SB 1314, which restricts new tobacco retailers from locating within 600 feet of schools or daycare centers and bans nitrous oxide sales and related paraphernalia. Testimony was generally supportive on the training, sunset, and licensing cleanup bills, though several measures drew “opposed unless amended” or neutral positions over scope and implementation details. On SB 1314, supporters including prosecutors and school administrators argued it would reduce youth exposure to tobacco, while gas station, convenience store, cigar lounge, pharmacy, and business groups raised concerns about impacts on existing businesses, transferability of tobacco licenses, and possible de facto limits on future stations; some public health groups shifted to neutral after amendments. On SB 1302, nursing groups supported the board sunset bill, while the California Medical Association objected to allowing out-of-state nurse practitioner transition-to-practice experience to count without a California attestation process. On SB 1304, health facilities and long-term care groups supported the board extension but sought broader clarification so LVNs could perform respiratory tasks consistently across settings. After quorum was finally established, the committee voted to send the consent calendar bills SB 1376, SB 1391, SB 1416, and SB 1315 to Appropriations, and then approved SB 342, SB 1148, SB 1302, SB 1303, SB 1304, SB 1311, SB 1314, SB 1363, and SB 1368, all moving forward to the Committee on Appropriations. SB 1314 passed with some no votes, while the other measures advanced with broad support. The hearing ended after additional members were added on the record and the committee adjourned.

Transcript Highlights:

• We're going to bring you home.
• has been in the nursing home.
• The supervising officer is able to say, okay, this person has been in the nursing home; they're able
• home maybe.
• She left to go home. Representative Williams had a family emergency and left to go home.

Committee: House Crime and Public Safety

Transcript Highlights:

• Fred is a critical care nurse and Army Nurse Corps officer with experience in cardiac and intensive care
• He's a critical care nurse with Army Nurse Corps officer with St. Francis Hospital.
• He's a critical care nurse with the Army Nurse Corps and with St. Francis Hospital and the U.S.
• Army Nurse Corps.
• This bill creates the Oklahoma Home Service Transparency Act, aimed at increasing clarity around home

Bills: HB3329 , HR1039 , HR1040 , HB3413 , HB3414 , HB3415 , HB3416 , HB3417 , HB3418 , HB3419 , HB3420 , HB3706 , HB3711 , HB4139 , HB1268 , HB3660 , HJR1023 , HB3298 , HB3056 , HJR1084 , HB3934 , HB3919 , HB4118 , HB4119 , HB3791 , HB4260 , HB4178 , HB4215 , HB4324 , HB3270 , HB4352 , HB4305 , HB2955 , HB3315 , HB3066 , HB1245 , HB4125 , HB3075 , HB3129 , HB3239 , HB4153 , HB3265 , HB4491 , SB680 , HB4263 , HB4268 , HB1675 , HB3885 , HB2984 , HB3697 , HB2959 , HB3671 , HB3852 , HB2933 , HB3057 , HB3802 , HB4294 , HB4285 , HB3708 , HB3979 , HB3977 , HB3986 , HB3985 , HB3588 , HB3742 , HB3845 , HJR1070 , HB3590 , HB3595 , HB3391 , HB3183 , HB3764 , HB3765 , HB1002 , HB4434 , HJR1086 , HB4060 , HB3881 , HB3500 , HB4408 , HB3648 , HB3127 , HB3606

Summary: The House met in session, opened with prayer and the Pledge of Allegiance, and then held an extended OU Day presentation recognizing the University of Oklahoma women’s gymnastics team for its 2025 national championship and honoring athletic director Joseph Castiglione. OU President Joseph Harris and Castiglione both spoke about the university’s growth, affordability efforts, health care expansion, and research progress, and the championship team was introduced and thanked the Legislature for its support. The chamber also received several gallery introductions, including visitors from Stigler, North Rock Creek, and Charles Page High School, along with the Doctor and Nurse of the Day. The floor then took up a package of public finance and procurement bills sponsored by Representative Strom. House Bills 3413 through 3420 focused on transparency, contract reporting, subcontractor disclosure, post-contract assessments, central purchasing rules, restrictions on bid information sharing, and limits on pilot programs and CIO contract justifications. Each bill was advanced and passed, with vote totals ranging from 87-95 in favor and only a few nays on some measures. Strom described the package as a response to audit findings and concerns about fraud, waste, and abuse in state and local spending. The House also passed several other measures. House Bill 3706, as amended, requires more elementary school math instruction time and drew questions about balance with reading and other subjects; it passed 74-19, and its emergency was approved. House Bill 3711 requires school districts to post instructional spending percentages and include them in bond materials, passing 79-16 with the emergency clause approved. House Bill 4139 created the Oklahoma Home Service Transparency Act and passed 89-5. House Bill 1268 created a deferred option retirement plan for certain emergency responders and law enforcement personnel and passed 92-1 after a title strike request. House Bill 3660, concerning natural organic reduction/cremation, passed 59-37 after debate over licensing and public health concerns. House Joint Resolution 1023 updating the workers’ compensation fee schedule passed unanimously, and House Bill 3298 standardizing judicial interviews of children in family proceedings passed 95-0. House Bill 3056, allowing sales of unpasteurized milk at farms, feed stores, and farmers markets, prompted extensive debate over safety, labeling, liability, and market access, but ultimately passed 43-11. The House then recessed until 1 p.m.

Transcript Highlights:

• Nurses have incredibly important jobs.
• Nurses have incredibly important jobs.
• In the early 90s, I watched my mom, a registered nurse, gather with a band of her nurse friends and stand
• This bill takes away those freedoms as a nurse and as a teacher.
• This bill takes away those freedoms as a nurse and as a teacher.

Committee: Senate Governmental Oversight and Accountability